Three thousand days of pregnancy. A case of monosymptomatic delusional pseudocyesis responding to pimozide.
An unusual case of pseudocyesis of almost ten-year duration, characterised by a monosymptomatic hypochondriacal delusion and a selective response to pimozide is reported. The nosological status of the diagnosis, delusional (paranoid) disorder, is suggested to be a variety of the Kraepelinian concept of paranoia. The therapeutic pitfalls of relying on a phenomenological distinction between overvalued ideas and delusional beliefs are discussed.
de Pauw
K W
KW
Department of Psychiatry, Doncaster Royal Infirmary.
D000328:Adult; D001521:Behavior Therapy; D003131:Combined Modality Therapy; D003702:Delusions / Q000188:drug therapy / Q000523:psychology*; D005260:Female; D006760:Hospitalization; D006801:Humans; D010868:Pimozide / Q000009:adverse effects / Q000627:therapeutic use*; D011555:Pseudopregnancy / Q000523:psychology*; D012008:Recurrence
D010868:Pimozide